Organization
AREZO MARIA FATHIE M D INC
Active
Other names
GENERATIONS MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AREZO M FATHIE MD (OWNER)
(702) 407-9994
Entity
Organization
Contact information
Practice address
5135 S. DURANGO DR., #102, LAS VEGAS, NV 89113
(702) 407-9994
(702) 407-9998
Mailing address
5135 S. DURANGO DR, #102, LAS VEGAS, NV 89113
(702) 407-9994
(702) 407-9998
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
8750
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2019177
—
NV
Enumeration date
11/20/2007
Last updated
12/02/2011
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